Most Relevant Information
Provider Data
| NPI Number: | 1003043241 |
| Provider Name: | EDNA THEORA PEDRICK |
| Entity Type: | Individual |
| Taxonomy Code: | 247200000X |
| Specialty: | Technician, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/15/2009 |
| Last Updated: | 06/15/2009 |
Provider Practice Location
1200 AGUAJITO RD
SUITE103
MONTEREY
CA
939404887
Practice Location Phone/Fax
| Phone: | 8316477652 |
| Fax: | 8316477940 |
Provider Mailing Location
1200 AGUAJITO RD
SUITE 103
MONTEREY
CA
939404887
Provider Mailing Phone/Fax
| Phone: | 8316477652 |
| Fax: | 8316477940 |